Why the time is now for building Medicare Advantage networks

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For healthcare payer organizations, Medicare Advantage (MA) represents one of the most dynamic and competitive opportunities in the marketplace. With the number of Medicare beneficiaries growing, MA enrollment continues to move sharply upward. As of 2023, nearly 32 million people were enrolled in MA and related plans.

Building MA networks is a must. But deadlines and complexity can stand in the way.

Medicare Advantage Networks: Opportunities and Obstacles

Ongoing interest in MA represents significant potential revenue benefits for payers, but the process is subject to obstacles and time pressures. Payer organizations who recognize the crucial need for building MA networks face headwinds including:

• Changing submission deadlines. Submissions for MA networks, although subject to change,...

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